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@article{BONE:2019:10.1016/j.foot.2019.02.005,
author = {BONE, Collaborative},
doi = {10.1016/j.foot.2019.02.005},
journal = {Foot (Edinb)},
pages = {28--36},
title = {Weight-bearing in ankle fractures: An audit of UK practice.},
url = {http://dx.doi.org/10.1016/j.foot.2019.02.005},
volume = {39},
year = {2019}
}
TY - JOUR
AB - INTRODUCTION: The purpose of this national study was to audit the weight-bearing practice of orthopaedic services in the National Health Service (NHS) in the treatment of operatively and non-operatively treated ankle fractures. METHODS: A multicentre prospective two-week audit of all adult ankle fractures was conducted between July 3rd 2017 and July 17th 2017. Fractures were classified using the AO/OTA classification. Fractures fixed with syndesmosis screws or unstable fractures (>1 malleolus fractured or talar shift present) treated conservatively were excluded. No outcome data were collected. In line with NICE (The National Institute for Health and Care Excellence) criteria, "early" weight-bearing was defined as unrestricted weight-bearing on the affected leg within 3 weeks of injury or surgery and "delayed" weight-bearing as unrestricted weight-bearing permitted after 3 weeks. RESULTS: 251 collaborators from 81 NHS hospitals collected data: 531 patients were managed non-operatively and 276 operatively. The mean age was 52.6 years and 50.5 respectively. 81% of non-operatively managed patients were instructed for early weight-bearing as recommended by NICE. In contrast, only 21% of operatively managed patients were instructed for early weight-bearing. DISCUSSION: The majority of patients with uni-malleolar ankle fractures which are managed non-operatively are treated in accordance with NICE guidance. There is notable variability amongst and within NHS hospitals in the weight-bearing instructions given to patients with operatively managed ankle fractures. CONCLUSION: This study demonstrates community equipoise and suggests that the randomized study to determine the most effective strategy for postoperative weight-bearing in ankle fractures described in the NICE research recommendation is feasible.
AU - BONE,Collaborative
DO - 10.1016/j.foot.2019.02.005
EP - 36
PY - 2019///
SP - 28
TI - Weight-bearing in ankle fractures: An audit of UK practice.
T2 - Foot (Edinb)
UR - http://dx.doi.org/10.1016/j.foot.2019.02.005
UR - https://www.ncbi.nlm.nih.gov/pubmed/30933870
VL - 39
ER -